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Missouri rates for HCPCS 54390

Plastic operation on penis for epispadias distal to external sphincter; with exstrophy of bladder

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $4,897.79 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $1,479.11 / $2,454.71
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $4,786.30 / $10,000.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,513.56 / $2,511.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $1,258.93 / $2,041.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $1,698.24 / $2,754.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $2,290.87 / $7,943.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,778.28 / $12,302.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $3,548.13 / $6,165.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,513.56 / $3,019.95